Percutaneous Coronary Intervention for Chronic Total Occlusion-Contemporary Approach and Future Directions

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Jun 10

PMID 37297958

Authors

Emil Julian Dabrowski

Michal Swieczkowski

Joanna Maria Dudzik

Oliwia Grunwald

Tomasz Januszko

Pawel Muszynski

Piotr Pogorzelski

Justyna Tokarewicz

Maciej Poludniewski

Marcin Kozuch

Slawomir Dobrzycki

Affiliations

Soon will be listed here.

Abstract

In the aging society, the issue of coronary chronic total occlusion (CTO) has become a challenge for invasive cardiologists. Despite the lack of clear indications in European and American guidelines, the rates of percutaneous coronary interventions (PCI) for CTO increased over the last years. Well-conducted randomized clinical trials (RCT) and large observational studies brought significant and substantial progress in many CTO blind spots. However, the results regarding the rationale behind revascularization and the long-term benefit of CTO are inconclusive. Knowing the uncertainties regarding PCI CTO, our work sought to sum up and provide a comprehensive review of the latest evidence on percutaneous recanalization of coronary artery chronic total occlusion.

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